Flashback Friday: Optimal Cholesterol Level

Why don’t authorities advocate a sufficient reduction in cholesterol down to safe levels?

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It’s imperative for everyone to understand Dr. Rose’s sick population concept, which I introduced in When Low Risk Means High Risk (
What about large fluffy LDL cholesterol versus small and dense? See Does Cholesterol Size Matter? (

More from the Framingham Heart Study in Barriers to Heart Disease Prevention (

Here are a few newer cholesterol videos:
• Eggs and Cholesterol: Patently False and Misleading Claims (
• Carnitine, Choline, Cancer, and Cholesterol: The TMAO Connection (
• How to Prevent Non-Alcoholic Fatty Liver Disease (
• Dietary Cholesterol and Cancer (

And of course, this overview video is always a good reference: How Not to Die from Heart Disease (

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-Michael Greger, MD FACLM

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35 thoughts on “Flashback Friday: Optimal Cholesterol Level

  1. Maybe the public's greatest frustration would come from not being informed of the optimum diet for health


    That is true

  2. My LDL was 99 when I had my heart attack. I lowered it to 68 using WFPB diet and exercise. I've added Repatha and my LDL is 16.

  3. So…what about us poor schlumps who have been consistently been eating a WFPBD (with no added oil) and STILL cannot achieve optimal LDL levels?

  4. I like Dr Gregors informational snippets here on YouTube, but this is old and outdated incorrect information. You should look into Ivor Cummins reseach on behalf of Irish Heart Disease Awarenes, about the real risk factors. Which I can simplify quickly as: too high blood insulin, combined with too low HDL and too high triglyceride count. LDL is not bad by itself, so the count doesn't matter. It is how much of your LDL that is OXIDISED which really matters. Please do more research on this matter Dr Gregor. And to find out you real heart disease risk, get a CAC (Coronary Artery Calcium) score test.

  5. Who can answer this: If meat is so bad, how come cavemen did not have barely any cancer or heart disease???? The fact that they didn't have those diseased proves that SOME meat is okay.

  6. Have you seen the off the rails McDougall interview?? You're headed there you bald prick. Stop spreading misinformation. There is still time to save yourself. Swallow your pride and go back to eating meat. Dumbass 🙂

  7. Ever notice that there is no simple English word for "eat healthy". There are plenty of words for "pig out". A word where somebody says "I'm going to *#@!" and other people think "he must be going to eat a salad or something".

  8. how dangerous is high cholesterol not from diet? mine has been high for 10+ years that i know of and i eat basically no cholesterol in my diet last 5+ years? I'm 48, 5.4 and 108 lbs. rather small, as i am getting older it scares me.

  9. The reason these people their cholesterol is high is because cholesterol is the building block for every single part of your body.
    It is a causal agent to have high cholesterol of something indicative of bodily damage, not a causal agent of an actual heart attack risk.
    Lowering cholesterol when necessary for healing is the actual danger, or having a lack thereof.
    Hydrogenated vegetable oils for example, cause plaque and cholesterol is needed to fix this damage/holes created in the arteries and gets blamed for you developping a heart attack instead of praised for relieving you from artery breaks.
    Again, it is a result from initial damage, cholesterol doesn't cause plaque in every tribe that ever existed which mainly ate animal products/fats, for example eskimos, having nearly no rates of atherosclerosis (increasing the more westernized their diet is).
    They don't eat the very damaging foods in the first place that make cholesterol necessary to fix these arteries from within.

  10. I kept getting getting palpitations/arrhythmia and the cardiologist was like…wow, your cholesterol is great, don't know what's wrong.

  11. You might want to see the interview from “What I’ve Learned” with Dave Feldman on why we may need LDL. It’s groundbreaking and Uber informative on the mechanistic pathways of why it’s given such a bad wrap! Those who want to delve into LDL more take a look at that interview and you will be blown away! Thanks and god bless!

  12. “Cholesterol May be the main factor in heart attack risk”. Not true! People on statins do NOT have a significantly lowered heart attack risk. It is clearly more than just cholesterol. Eating a plant-based diet also reduces inflammation in most people and that is a huge factor as well.

  13. Hi Dr I would like you to address some papers like "LDL-C does not cause cardiovascular disease: a comprehensive review of the current literature" in your next video thanks

  14. For me, getting cholesterol and LDL down to 140/70 respectively had side effects: better health, lower blood pressure, less inflammation, better sleep, and lower HBA1C. Of course it took some attention to diet and exercise, but it really wasn't a major sacrifice. I recall my GP saying saying years ago, "Wow. I have patients on statins that can't do that well." I told him maybe he should prescribe oatmeal instead.

  15. I wish he had pulled in some more recent studies. 2004 is a long time ago … (though that doesnt mean the info is bad or wrong, of course)

  16. The WFPB is not the total answer. I have been on a strict WFPB for one and a half years and also on heart medication. The statins were causing me muscle pain so under the doctors suggestion that I stop the 20mg of statin for 10 days and check the blood work again. To my horror my LDL went from 65.7 to 116 after 10 days with me still doing a strict WFPB. It may be hereditary as the doctor said or I am thinking it may be something else. I listened to a Rich Roll pod cast where he interviews Dr. Dean Ornish, the doctor said in one university study on rabbits that the ones that had no social contact had a 60% greater plaque build up than the ones who had social interaction. Living alone may not be good for the heart and may cause plaque buildup from this study, for rabbits and people.

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